移民轨迹,不确定性和健康:一个概念性审查
Eilin Rast1, Bianka Detering1, Sven Rohleder1
1Population Medicine & Health Services Research, School of Public Health, Bielefeld University, Bielefeld, Germany.
Social science & medicine (1982)
|December 19, 2025
概括
迁移涉及复杂的旅程与显著的不确定性,往往会对心理健康产生负面影响. 进一步的研究应该探索积极的健康结果以及流动性系统如何塑造移民未来的可能性.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 移民研究 移民研究
背景情况:
- 迁移轨迹是复杂的,非线性路径,由于不完整的知识和不可预测的未来,具有固有的不确定性.
- 不确定性是移民的一个决定性特征,影响心理社会福祉和健康结果.
- 卫生研究越来越多地专注于概念化和操作化移民轨迹及其相关的不确定性.
研究的目的:
- 检查与健康相关的研究中,移民轨迹和相关的不确定性是如何被概念化和操作化的.
- 综合现有的关于在健康研究中定义和应用迁移不确定性的文献.
- 确定差距,并提出未来的研究方向,以了解移民不确定性对健康的影响.
主要方法:
- 一个概念性审查,在多个数据库 (Medline,Embase,科学网,全球指数Medicus) 中进行系统搜索.
- 提取有关概念定义,操作化和与健康结果的联系的信息.
- 不确定性因素的分类和映射,然后进行叙事综合.
主要成果:
- 综合了66项研究,主要是关于高收入国家强迫移民的研究,揭示了移民不确定性的各种概念化和操作化.
- 法律地位的不确定性是最常被引用的,其次是未来,一般移民和社会关系的不确定性;经济,医疗保健和社会因素的考虑较少.
- 沿着迁移轨迹的不确定性主要与不良的心理健康结果有关.
结论:
- 移民轨迹充满不确定性,特别是法律不确定性,这对心理健康有重大影响.
- 当前的理论框架不足以捕捉不确定性的潜力,以产生跨移民的健康知识.
- 未来的研究应该探索积极的健康影响,流动性制度对"可能的未来"的影响,以及改进的方法来研究移民健康研究中的不确定性.
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